| Preventive Healthcare | |
|
201 N Jefferson St Suite D Saint James MO 65559-1919 | |
| (573) 265-0911 | |
| (573) 265-0912 |
| Full Name | Preventive Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 N Jefferson St, Saint James, Missouri |
| Authorized Official Name and Position | Brent K Caudill (OWNER/DOCTOR) |
| Authorized Official Contact | 5732650911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Healthcare Po Box 773 Saint James MO 65559-0773 Ph: (573) 265-0911 | Preventive Healthcare 201 N Jefferson St Suite D Saint James MO 65559-1919 Ph: (573) 265-0911 |
| NPI Number | 1194019521 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194019521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 109789 (Missouri) | Primary |
Mercy Clinic Family Medicine-st. James Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 W Eldon St, Saint James, MO 65559 Phone: 573-265-1818 Fax: 573-265-1810 | |
Forest City Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N Jefferson St, Saint James, MO 65559 Phone: 573-265-8840 Fax: 573-265-8884 | |
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